# BLYTHEDALE CHILDREN'S HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679573083
- **Authorized official:** MS. LISA-MARIE COPPOLINO (DIRECTOR, PATIENT ACCOUNTS)
- **Authorized official phone:** (914) 831-2481

## Contact information

- **Practice address:** 95 BRADHURST AVE, VALHALLA, NY 10595-1637
- **Practice address phone:** (914) 592-7555
- **Practice address fax:** (914) 592-0381
- **Mailing address:** 95 BRADHURST AVE, VALHALLA, NY 10595-1637
- **Mailing address phone:** (914) 592-7555
- **Mailing address fax:** (914) 592-0381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | 5957000H | NY | Yes |

## Other

- **Enumeration date:** 07/28/2005
- **Last updated:** 10/07/2024